Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE (PRESIDENT)
(304) 388-7784
Entity
Organization
Contact information
Practice address
301 RHL BOULEVARD, SUITE 3, SOUTHRIDGE HEALTH PLUS, SOUTH CHARLESTON, WV 25309
(304) 388-7010
(304) 388-7015
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7784
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D1088105
WV
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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